title: [Achilles heel of COPD].
abstract: We report the case of a 73 year old patient with a COPD. A severe exazerbation was treated with glucocorticoids and Quinolones. A few days later both ankles were tender and painful. Ultrasound examination showed bilateral Achilles tendon ruptures. Diagnostics, etiology and therapeutic options are discussed.
authors.affiliation: Fachbereich Allgemeine Innere Medizin, Kantonsspital St. Gallen, St. Gallen, Switzerland.
authors.forename: Stefanie
authors.initials: S
authors.lastname: Schuster
authors.forename: Markus
authors.initials: M
authors.lastname: Diethelm
mesh_terms: D000125:Achilles Tendon / Q000187:drug effects* / Q000293:injuries*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000009:adverse effects*; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage* / Q000009:adverse effects*; D001372:Aza Compounds / Q000008:administration & dosage / Q000009:adverse effects*; D003937:Diagnosis, Differential; D018450:Disease Progression; D004305:Dose-Response Relationship, Drug; D004359:Drug Therapy, Combination; D004417:Dyspnea / Q000188:drug therapy* / Q000209:etiology*; D024841:Fluoroquinolones; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D000077266:Moxifloxacin; D015242:Ofloxacin / Q000008:administration & dosage* / Q000009:adverse effects*; D011241:Prednisone / Q000008:administration & dosage* / Q000009:adverse effects*; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000188:drug therapy*; D011804:Quinolines / Q000008:administration & dosage / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000188:drug therapy; D012422:Rupture, Spontaneous / Q000139:chemically induced* / Q000175:diagnosis; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D001372:Aza Compounds; D024841:Fluoroquinolones; D011804:Quinolines; D015242:Ofloxacin; D000077266:Moxifloxacin; D011241:Prednisone